Abstract

MANAGEMENT OF POST OPARATIVE WOUND DEHISCENCE - A CASE STUDY

Ravi Tatya Shinde*, V. K. Kasle and Snehal B. Kothawale

.

Abstract

Dehiscence is a partial or total separation of previously approximated wound edges, due to a failure of proper wound healing. This scenario typically occurs 5 to 8 days following surgery when healing is still in the early stages. The causes of dehiscence are similar to the causes of poor wound healing and include ischemia, infection, increased abdominal pressure, diabetes, malnutrition, smoking, and obesity. Superficial dehiscence is when the wound edges begin to separate and by increased bleeding or drainage at the site. The clinician should investigate the wound for worrisome signs, including infection or necrosis. Prompt identification is important for preventing worsening dehiscence, infection, and other complications.[1] A 26 year old male patient having H/O RTA with D3-D4 vertebrae compression fracture with paraplegia 2 months ago. Surgical history of spine fixation 1.5 month ago at Govt. Medical college but after 3-4 days there was wound infection and gapping occurred for that patient came to civil hospital. In civil hospital after cleaning and dressing of wound secondary suturing was done 15 days ago. But again after 5-6 days wound gapping occurred for that patient came to our hospital. Patient came with wound dehiscence and slough within at operative site with paraplegia and bed sore since 15 days, For that he was admitted and daily dressing was done with Betadine, H2O2, Eusol, Normal saline wash till the wound became healthy and was followed by application of collagen granules. As wound showed healthy granulation from floor, margins and covers the spinous process then secondary suturing was done.

Keywords: 1.Wound dehiscence, 2. Collagen granules, 3.Baladi ghruta.